全直肠系膜切除术结合双吻合器治疗低位直肠癌85例

目的：探讨全直肠系膜切除术（total mesorectal excision,TME）结合双吻合器（DST）治疗低位直肠癌的效果及临床价值。方法：对我院85例低位直肠癌患者采用TME和DST联合治疗的方法,观察治疗后的排便功能及疗效。结果：所有患者手术均顺利,无吻合口瘘和狭窄,切割环均完整,无手术闭合失败及手术死亡。随访时间6个月-5年,局部复发率4例（4.7%）。排便控制功能：优75例（88.2%）,良9例（10.6%）,差1例（1.2%）。结论：TME和DST联用治疗低位直肠癌,保肛效果满意,并发症少,提高了患者的生存质量,值得临床推广。

Application of TME Combined with Dual Stapler Technique in 85 Cases With Low Rectal Cancer

Objective：To explore the effect and clinical value of TME combined with dual stapler technique DST in treatment of low rectal cancer.Methods：Sixty patients with low rectal cancer underwent TME combined with DST in our hospital,and the bowel function and efficacy were observed after treatment.Results：All patients passed a smooth anesthesia and successful operation,no anastomotic fistula and narrow occurred,cutting central was completed,and no surgical failure and death happened.Follow-up for 6 months to 5 years, the local recurrence rate was3.33%. The defecation control on showed 75 cases gifted （88.2%）, 9 cases good （10.6%）, and 1 case poor（1.2%）. Conclusion： TME combined with DST should be considered as the first choice in treatment of low - rectal cancer, with satisfactory outcome and less complications; it improves the patient＇s life quality.